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20121201
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CSPAN 3
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Search Results 0 to 6 of about 7 (some duplicates have been removed)
CSPAN
Dec 13, 2012 8:00pm EST
a loss so vast. the aca is not just above the expansion of medicaid or establishing an insurance exchange, it is about the hundreds of federal mandates and procedural requirements that have the escaped public attention, but to which we by law must obey. the fine print of the legislation is so complex, even the federal government struggles to understand it. the states cannot fully understand the impact on finances, systems changes, and operations. this law completely overwhelms society's safety net for the needy. there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor- made renewal system that took years to refine and perfect. the verification system will
MSNBC
Dec 9, 2012 7:00am PST
is the creation of health care exchanges. now, let me explain. these aca exchanges are online marketplaces. in short, websites. the idea is to force insurance companies to play by the same rules and compete for a large pool of customers resulting in less expensive premiums for everyone. here's how it works. let's say you're one of the 50 million people in in country without health care. you're looking to get yourself covered. you'd log on to your state's exchange or call a hotline number. the goal is to shop around for whatever plan works best for you and your family. if you are living at 138% to 400% of the poverty line, that is a family of four living off an annual income of $31,809 to $92,200, then you are eligible for government money to subsidize the cost of your premium. if you're above that level, you don't get the federal subsidy. the law requires every state to have a place for people to shop for coverage. there are three options on how they are created and operated. >> first, states can set up and run their own exchanges or if they're not quite ready to tackle is on their own, st
CSPAN
Dec 17, 2012 12:00pm EST
will get even higher. >> but that is the point now that you have the aca that you can have this discussion in a way that was much harder to have before. it is really saying for those who are able to continue working, can we begin to reorient the expectation for the next generation, which is what we're talking about, recognizing that for people who are in that pre now pre-medicare age, they will no longer have to postpone taking care of health care because they, in fact, have an option. so it is why this discussion takes on a whole different tone as a result of the affordable care act having passed. >> i mean, i would say we have options, but we don't know if they're affordable options, and that's really the big difference. >> al milliken, am media. what can we learn from other countries? i'm wondering if any of you have studied the health benefit programs elsewhere, and do any have comparable insurance programs, and what has been the experience in other nations? >> most of them are struggling mightily with the promises they have made which encourage people to retire even earlier than they
CSPAN
Dec 20, 2012 5:00pm EST
will lose access to critical health services covered in the a.c.a. like cancer screenings. and the last step is to go after another favorite g.o.p. target and that's social security. house republicans have only one to protect and that's the wealthiest americans. it couldn't be more obvious. i yield back the balance of my time. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from wisconsin. mr. ryan: i yield three minutes to the chairman of the commerce committee, mr. upton. the speaker pro tempore: the gentleman from michigan. up up -- mr. upton: we work to get our $16 trillion national debt under control and we put us on a path towards a more solemn fiscal future. the spending reduction act of 2012, we identified key areas to reduce spending to replace the sequester and without this thoughtful balanced package of savings, in two weeks, the sequester is going to cut discretionary spending while shielding the lion's share of the government's budget from reduction. critical priorities such as important cancer research at the n.i.h. and review of budget
CSPAN
Dec 26, 2012 12:00pm EST
to be sicker and therefore the cost will be would hire. >> that is appointed the aca that you have this discussion in a way that is much harder to have before. it is really saying, for those who are able to continue working, can we begin to re-orient and the expectation for the next generation which is what we are talking about, recognizing that for people who are in that now pre-medicare age, they will no longer have to postpone health care because they have options. it is why this discussion takes on a whole different tone as a result. >> i would say we have options that we don't know if they are affordable options and that is really the big difference. >> i will milliken, a immediate. what can we learn from other countries? i am wondering if any of you have studied the health benefit programs elsewhere and do any have comparable insurance programs in what has been the experience in other nations? >> most of them are struggling muddling with the promises they have made which encourage people to retire even earlier than they do in the united states and finding themselves in very s
CSPAN
Dec 7, 2012 2:00pm EST
the entire system. from private companies and individuals. we are trying to do that, in building the aca is important in terms of delivery reforms. pay doctors differ in their rewards quality. we should do that sooner than later. save those dollars sooner. in those discussions, are there other ways that we can see revenues come in from within the health-care system? that is on the table. i am not keen on increasing the age on medicare. we have gone to a really big debate about finding a way to have all americans have health insurance. that is taking a group of americans and figure out how they afford health coverage. that shifts the cost of subsidies and they go into the exchange and make it more expensive for younger people because the older court is in that group. -- cohort is in that group for medicare, these are the least expensive singers we have. the most expensive seniors are much older. you have to look exactly at the consequences and whether that is cost-savings for government and families? >> the president had a firm statement this week to the business roundtable about the debt
Search Results 0 to 6 of about 7 (some duplicates have been removed)